Unique Features of Adult Strabismus

Abstract

Background and Purpose

The management of adult patients with strabismus is often challenging. These patients usually require time-consuming evaluations. It is common for the patient to have a history of prior surgical interventions.

Patients and Methods

Selected evaluation methods and surgical techniques with particular application to the adult strabismus patient are reviewed. Five categories are considered: 1) Sensory testing; 2) Incomitant strabismus; 3) Reoperations and scarring of the extraocular muscles; 4) Anesthesia; 5) Adjustable sutures.

Results

Selected considerations are important in the management of adult patients with strabismus.

Conclusion

Adult strabismus management requires thoughtful analysis and special considerations, but can be done successfully in most cases with gratifying results both for the patient and for the management team.

• adult strabismus
• adjustable sutures
• Lancaster red/green test